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NAKSHATRA PHAL
PREDICTIONS FOR CHILDREN

You may either fill the form out and submit it online or you may print it out and send it to the following address:

All India Astrological Services (A.I.A.S.)
P.O. Box 590621
Orlando, Florida 32859 - 0621
U.S.A.

Personal Information

   
CHILD NAME  
First:
Middle:
Last:
Sex:
BIRTH DATE  
Day:
Month:
Year:
BIRTH TIME

(This is a 24 hour clock, Please enter the correct time If birth time is 23:41 pm; enter 23 HH  41 MM)

Hour (HH):
Minute (MM):
PLACE OF BIRTH  
City:
State:
Country:
MARITAL STATUS
Never Married Widowed Married
Divorced Separated
EMAIL
 

Other Important Information

   
YOUR QUESTIONS

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LANGUAGE Hindi      English
STYLE North Indian   South Indian   Bengali
 
Mailing Information
   
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City:
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Pin/Zip Code:
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Phone (Home):
Phone (Office):
   

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EXPIRATION DATE Month:Year:
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AUTHORIZATION  
 

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